| NPI | 1457802548 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JULIE H GOLD President 847-778-2086 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149010116) |
| Enumeration Date | 2016-10-24 |
| Last Update Date | 2018-03-15 |